Provider First Line Business Practice Location Address:
CHILDRENS HOSPITAL LOS ANGELES
Provider Second Line Business Practice Location Address:
4650 SUNSET BLVD, MS #53
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90027-0980
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-669-2300
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/27/2007